STATE OF FLORIDA {b= AGENCY FOR HEALTH CARE ADMDESTRATIONN ior Sh <4 02 HCP If WOODBRIDGE, INC. d/b/a WOODBRIDGE NURSING i. AND REHABILITATION CENTER, HE Petitioner, L D S vs. DOAH CASE NO. 01-0128 RENDITION NO.: aHca-o2~0002-S-MDA STATE OF FLORIDA, AGENCY , FOR HEALTH CARE ADMINISTRATION, Respondent. / INTEGRATED HEALTH SERVICES, CRYSTAL SPRINGS NURSING AND REHABILITATION CENTER, Petitioner, vs. DOAH CASE NO. 01-0129 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / INTEGRATED HEALTH SERVICES, CRYSTAL SPRINGS NURSING AND REHABILITATION CENTER, Petitioner, vs. . . DOAH CASE NO. 01-0130 _ STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. FINAL ORDER This cause came before me for the purpose of issuing a final agency order, it ' appearing from the Settlement Agreement, attached and incorporated herein, that there are no remaining disputed issues of fact. al eal lhl, FINDINGS OF FACT 1. On November 13 , 2001, a Stipulation and Settlement Agreement between the parties was executed which dismissed the Petitioners case against the Agency. 2. There are no remaining disputed issues of fact or law. CONCLUSIONS OF LAW The Agency has jurisdiction over the parties and subject matter pursuant to Section 120.57, Fla. Stat. (2000). The parties are directed to comply with the terms of the Stipulation, Settlement and Dismissal. The petition is dismissed and the file is closed this 4th dayof_ January , 2002. Rhonda Medows, MD. ’ Secretary Agency for Health Care Administration A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW OF PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF THE RENDITION OF THE ORDER TO BE REVIEWED. Copies Furnished to: Julia Lee ~ Finance and Accounting AHCA 2727 Mahan Drive Tallahassee, FL 32308 ers or coe a A Rae a a ee Serene ore t arene Freee chaise. iil aa Steven Grigas, Esquire AHCA, Bldg. #3 2727 Mahan Drive Tallahassee, FL 32308 Pete Lewis, Esquire 307 .W Park Avenue Tallahassee, FL 32302 Lisa Milton AHCA 2727 Mahan Drive Tallahassee, FL 32308 L.P. Stevenson Administrative Law Judge DOAH 1230 Apalachee Pkwy Tallahassee, FL 32399 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to the above named addressees by U.S. Mail on this the A day of ( sho ccs 2008 ania Ap® Agency Clerk State of Florida bee ee ee ORR ne epee Re TO i eaeecmenme rare RN pa oe di a ee | a oT as SUA de. CUTE. LS STPM RGENCY FOR HEALTH CARE AD ad STATE OF FLORIDA me LL be DIVISION OF ADMINISTRATIVE HEARINGS | 410: 54 o2 Jal AL iG HCP Il WOODBRIDGE, INC., d/b/a WOODBRIDG NURSING AND REHABILITATION CENTER, Petitioner, : vs DOAH CASENO. 01-0128 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION Respondent. INTEGRATED HEALTH SERVICES, CRYSTAL SPRINGS NURSING AND REHABILITATION CENTER, Petitioner, YS, ; DOAH CASENO. 01-0129 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION Respondent. INTEGRATED HEALTH SERVICES, CRYSTAL SPRINGS NURSING AND REHABILITATION CENTER, : Petitioner, vs, - DOAHCASENO. 01-0130 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION Respondent. / LEMENT. E ¥ The Parties, by and through the undersigned Counsel hereby stipulate in full and complete settlement of the above styled case, as follows: toa ks Paneer oy ee JUL ays 14. 2OG)F. 1:32PM HGCNCY FUR HEALTH CARE AD ~ GSU OTS FS Ras 1. The Respondent, STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION (“AHCA”) shall revise its audits of Petitioner’s Medicaid Cost Reports for the fiscal year ended January 31, 1998 (Woodbridge), and fiscal yeat ended January 31, 1997 and January 31, 1998 (Crystal Springs), in accordance with the attached letter adopted and incorporated herein by reference, dated April 23, 2001 from AHCA Audit Analyst Steven Diaczyk to Ms. Carol Disbro of IHS. 2. Based upon this agreement, the Petitioner agrees to dismiss its Petitions in this case with prejudice, ; 3. The Agency agrees to amend its proof of claim in the bankruptcy proceedings of Integrated Health Services and its subsidiaries, filed in the U.S. Bankruptcy court for the District of Delaware, Case No. 00-389, to reflect the changes afforded by this Settlement Agreement. . 4. The AHCA agrees to adopt and incorporate this Agreement in its Final Order. 5, Each Party agrees to bear its own costa and fees associated with this action. 6. The signatories represent and warrant that they are vested with the authority to execute this settlement agreement on behalf of their respective principles and to fully bind such principals, their successors and assigns to its terms. . AGREED to on this /3>day oftuly, 2001. FOR THE RESPONDENT Steven A. Grigaé, Esquire sq Senior Attorney, AHCA Goldsmith, Grout & Lewis, PA 2727 Mahan Drive, MLC #3 307 W. Park Avenue Tallahassee, FL 32308 _ . Tallahassee, FL 32302 2 a IRE ET cli al tes hie ki cee ae Ce ee peared ey oe eee Oe Se reer eare a JuerAud 14. CUTS 1S 32PM | AGENCY FOR HEALTH CARE AD etl Julie Gellagher-Esquire 20) comm Lie 2005 ferr'-4, General Counsel, AHCA 2727 Mahan Drive, MLC #3 Tallahassee, FL 32308 _ “hee lig Bob Sharpe Deputy Director of Medicaid, ANCA — 2727 Mahan Drive, MLC #3 Tallahassee, FL 32308 858 No.0 63 G4 ik a Ml a oe ee TRC eR em rrp nme ee JUL-AGE 14. 2 wt ogi 29012 1:32PM AGENCY FOR HEALTH CARE AD i 858 No.50163 5as5 . ‘ —— = _[ STATEOF FLORIDA Oi 226 OSH, GOVERNOR, . ar j RUBY J eNo-geaey, Jn, oRecTOR eas ny wy . Ms. Carol Disoro : a Integrated Health Services . : ‘ . 910 Ridgebrook Road , ; Sparks; Matrytaint “21Psz-—:-- tt deedagm agers eo mtew maa wey ee emp, ores ; DearCaral; oe . fu we ceed Friday, we'l draw up &settementstpusig to the folowing ’ os ’ wh onde TESS We. will change the sdnnact to physical therapy charges from (61,850) to (200). ” “We will change the adjustment to speech therapy charges trom (23,140) to (15,275). . We will change the adjustment to occupational therapy charges from (8,050) to (5,500), Crystal Springs YE 13197 We will change the adjiastment to Physica! therapy charges from (30,192) t0 °, 063). We will change'the adjustment 0 speach therapy charges from (13,953) to (4,925). We will change the adjustment to occupational therapy charges from (22,311) to (7,326). Crystal Springs YE 18198 We will change the adjustment to phos Soy charges from (28, 712) to (7 992). 7787 MARAN DRIVE GE Se ee Sper a a ~2- We will change the adjustment to speech therapy charges from (12,018) to (12,$80). We will change the adjustment to occupational rherapy chames from (9,916) to (3,626). Ifyou have any questions, feel free to call me at (727) 5$2-1155. Sincerely, - Steven Diaczyk Audit Evaluation and Review Analyst 3727 MABAN DRIVE H TALLABASSEE, PL 32308 subarg.f4. 230i 123! Hi y KR OCHRE 5 “AUS i4 JUbe bs SEPM , _ PUR HERLTH CARRE AB 7 . BSBNo 507 HS Pp. § a6 TOTAL P.@s a errs = ee ae te SE ORR Fae rp pe ren TO RRR = era ORE mr ee r-rrmmee rere

Docket for Case No: 01-000130MPI